Organization
BASKING RIDGE COUNSELING AND THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ERIC ROSENTHAL PH.D, (PARTNER)
(908) 647-6611
Entity
Organization
Contact information
Practice address
59 E RAYBURN RD, MILLINGTON, NJ 07946-1503
(908) 647-6611
(908) 647-5013
Mailing address
59 E RAYBURN RD, MILLINGTON, NJ 07946-1503
(908) 647-6611
(908) 647-5013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI02353
NJ
1041C0700X
Clinical Social Worker
SC00275
NJ
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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